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  Patronage of the Polish Society of Audiology and Phoniatrics

vol 13. no 3. September 2014  

Sj÷gren’s syndrome and tuberculosis – case report and literature review
Piotr Wardas, Agnieszka Piotrowska-Seweryn, Micha│ Soko│owski, Robert Dorosz, Jaros│aw Markowski

A 37-year-old patient with insignificant past medical history
was admitted to the Department of Pulmonary Diseases
to confirm pre-diagnosis of pulmonary tuberculosis, and its
treatment. An antimycobacterial 3,5-month-long politherapy
was implemented, and it was continued for the next six months
in an outpatient clinic. A complete remission of the disease was
achieved. Over the next ten months the patient experienced
symptoms typical for Sj÷gren’s syndrome (SS). The disease was
confirmed according to the American-European Consensus
Group (AECG) criteria by ODF standard diagnostic tests. As
higher risk of Mycobacterium tuberculosis infection connected
with immunosuppressive therapy in rheumatic diseases has been
often reported, the authors decided to investigate whether the
reverse is true, i.e. whether tuberculosis or its treatment could
promote the development of an autoimmune disease (SS in the
reported case).

keywords: zespˇ│ Sj÷grena, gru╝lica, Sj÷gren’s syndrome, tuberculosis

pages: from 175 to 180

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